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. 2010;35(3):333-51.
doi: 10.1080/87565641003696940.

Diffusion tensor imaging of the cingulum bundle in children after traumatic brain injury

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Diffusion tensor imaging of the cingulum bundle in children after traumatic brain injury

Elisabeth A Wilde et al. Dev Neuropsychol. 2010.

Abstract

Structural damage to the prefrontal-cingulate network has been implicated in cognitive and neurobehavioral deficits associated with traumatic brain injury (TBI). Forty-six children who had sustained moderate-to-severe TBI and 43 children with extracranial injury were imaged using diffusion tensor imaging (DTI). Decreased fractional anisotropy (FA) and increased apparent diffusion coefficient (ADC) values were found in the cingulum bundles bilaterally in the TBI group. Cingulum ADC was related to frontal lesion volume, injury severity, and injury mechanism. Finally, cingulum DTI parameters were related to cognitive control measures. DTI detects TBI-related injury to the cingulum, which may facilitate advances in assessment and treatment.

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Figures

FIGURE 1
FIGURE 1
Left cingulum bundle in a child with orthopedic injury (OI) and traumatic brain injury (TBI). Diffusion tensor imaging (DTI) tractography overlaid on a sagittal T1-weighted image for a 13-year-old child with OI compared with an age- and gender-equivalent child with TBI. Despite the lack of focal or diffuse injury in the TBI child at this level, DTI tractography illustrates the marked difference in the density, length, and brightness of the “fiber” streamlines (indications of decreased fractional anisotropy [FA] and/or increased apparent diffusion coefficient [ADC]) in this participant
FIGURE 2
FIGURE 2

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